Individual
GABRIELLE E MORMILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
101 BUFORD RD STE 110, NORTH CHESTERFIELD, VA 23235-5292
(804) 447-6382
(804) 447-6383
Mailing address
101 BUFORD RD STE 110, NORTH CHESTERFIELD, VA 23235-5292
(804) 447-6382
(804) 447-6383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701007507
VA
101YP2500X
Professional Counselor
Primary
0701007507
VA
Other
Enumeration date
02/14/2018
Last updated
04/27/2022
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